Includes bibliographical references (pages 359-363) and index

A look at the impending health and environmental disasters in the Soviet Union, discussing the shortage of appropriate surgical instruments, the dangerous concentration of pollution in some cities, and more

Foreword / Lester Brown -- 1. Facing Facts -- Shortened Lives, Needless Deaths -- Vicious Synergy: Pollution and Disease -- Chernobyl: The Glasnost Fallout -- From Subjects to Activists -- Protest by the Volga -- Onto the Streets -- From Protest to Power -- Beginnings of Wisdom -- 2. Birth of the Future -- The Whip of Necessity -- Science Subservient -- Socialism Versus the Louse -- A Duty to Health -- The Plan: Agent of Destruction -- False Fronts and Self-deception -- 3. Harvests of Neglect -- As Ye Sow -- A Stinking Ruin -- Ill Fares the Land -- Contamination for Mass Consumption -- Preference for Poison -- Back to (Human) Nature -- 4. A Sea of Troubles -- Deaths at an Early Age -- Resentment Rising -- 5. Dark, Satanic Mills -- The Shroud of Pollution -- Siberian Wastes and Wastelands -- Death Traps in the Rust Belt -- No Place to Hide -- Politics, Economics and Pollution -- 6. Water Torture -- "Conserve This Glorious Sea" -- Wasting Away -- Currents of Contamination -- Last Resorts -- 7." ... Plus Electrification" -- Rocks and Hard Places -- "We Simply Squander Energy" -- "We Need a Propagandist" -- Chernobyl: Costs of Cataclysm -- Mind over Matter -- Coverup and Controversy -- The Wages of Fear -- "Letting the Chips Fly" -- 8. Crippled Giant -- Sick Call -- Mayhem in Uniform -- Military Medicine: An Oxymoron? -- Hoist by Its Own Petard -- Up in Arms -- 9. Gathering Ills -- Environment and Health -- Losing Ground -- Drinking and Dying -- New Ills, Old Strategies -- Short-changed -- Opiates for the Masses -- Failing According to Plan -- There Ought to Be a Law -- 10. Cradle to Grave -- Siege Conditions -- Desperate Remedies -- A Woman's Story -- Motherhood and Its Discontents -- Equal Rights, Unequal Burdens -- Handicapped Healers -- Unarmed, Maybe Dangerous -- Prognosis Guarded -- 11. The People Speak -- Greening Around the Edges -- Ready for Prime Time -- Brushfires at the Grass Roots -- Fighting City Hall -- All Power to the Soviets! -- Things Fall Apart -- 12. A Time to Heal -- Environmental Economics -- The Prices of Cleanup -- First Things First -- Rx for Health -- Whence Cometh My Help

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